Active NPI
Judith Santiago, RPH
- Pharmacist
- Canovanas, PR
National Provider Identifier
1528107463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4312
- Practice address
- Calle Autonomia
#72
Canovanas, PR 00729 - Phone
- (787) 876-2174
- Fax
- (787) 256-4720
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4312 | PR | Primary |
Addresses
Primary practice location
Calle Autonomia
#72
Canovanas, PR 00729
Mailing address
115 Calle Rosa Imperial
Hacienda Real
Carolina, PR 00987-9764
Phone (787) 276-4718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4312 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Pontezuela 24 LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Canovanas, PR
- NPI 1972644060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528107463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CALLE ROSA IMPERIAL",
"address_2": "HACIENDA REAL",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879764",
"telephone_number": "787-276-4718",
"fax_number": "787-276-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE AUTONOMIA",
"address_2": "#72",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-876-2174",
"fax_number": "787-256-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "JUDITH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.